| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
675 |
654 |
$32K |
| 59025 |
Fetal non-stress test |
275 |
247 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
281 |
$6K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
343 |
342 |
$3K |
| 81025 |
|
712 |
701 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
31 |
$3K |
| 90715 |
|
85 |
84 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
122 |
$2K |
| 90656 |
|
127 |
127 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
115 |
115 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$760.59 |
| 90686 |
|
25 |
25 |
$406.67 |
| 82950 |
|
89 |
88 |
$396.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$36.70 |